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dbSNP Short Genetic Variations

Welcome to the Reference SNP (rs) Report

All alleles are reported in the Forward orientation. Click on the Variant Details tab for details on Genomic Placement, Gene, and Amino Acid changes. HGVS names are in the HGVS tab.

Reference SNP (rs) Report

This page reports data for a single dbSNP Reference SNP variation (RefSNP or rs) from the new redesigned dbSNP build.
Top of the page reports a concise summary for the rs, with more specific details included in the corresponding tabs below.
All alleles are reported in the Forward orientation. Use the Genomic View to inspect the nucleotides flanking the variant, and its neighbors.
For more information see Help documentation.

rs4646438

Current Build 156

Released September 21, 2022

Organism
Homo sapiens
Position
chr7:99766412 (GRCh38.p14) Help

The anchor position for this RefSNP. Includes all nucleotides potentially affected by this change, thus it can differ from HGVS, which is right-shifted. See here for details.

Alleles
dupT
Variation Type
Indel Insertion and Deletion
Frequency
dupT=0.000045 (12/264690, TOPMED)
dupT=0.000199 (50/250992, GnomAD_exome)
dupT=0.000036 (5/140214, GnomAD) (+ 6 more)
dupT=0.000214 (26/121224, ExAC)
dupT=0.00014 (12/88466, ALFA)
dupT=0.00127 (36/28258, 14KJPN)
dupT=0.00107 (18/16758, 8.3KJPN)
dupT=0.0002 (1/6404, 1000G_30x)
dupT=0.0033 (6/1832, Korea1K)
Clinical Significance
Not Reported in ClinVar
Gene : Consequence
CYP3A4 : Frameshift Variant
Publications
2 citations
Genomic View
See rs on genome

ALFA Allele Frequency
The ALFA project provide aggregate allele frequency from dbGaP. More information is available on the project page including descriptions, data access, and terms of use.

Release Version: 20230706150541
Population Group Sample Size Ref Allele Alt Allele
Total Global 88466 T=0.99986 TT=0.00014
European Sub 75454 T=0.99997 TT=0.00003
African Sub 4292 T=1.0000 TT=0.0000
African Others Sub 174 T=1.000 TT=0.000
African American Sub 4118 T=1.0000 TT=0.0000
Asian Sub 3328 T=0.9973 TT=0.0027
East Asian Sub 2672 T=0.9970 TT=0.0030
Other Asian Sub 656 T=0.998 TT=0.002
Latin American 1 Sub 434 T=1.000 TT=0.000
Latin American 2 Sub 928 T=1.000 TT=0.000
South Asian Sub 274 T=1.000 TT=0.000
Other Sub 3756 T=0.9997 TT=0.0003


Help

Frequency tab displays a table of the reference and alternate allele frequencies reported by various studies and populations. Table lines, where Population="Global" refer to the entire study population, whereas lines, where Group="Sub", refer to a study-specific population subgroupings (i.e. AFR, CAU, etc.), if available. Frequency for the alternate allele (Alt Allele) is a ratio of samples observed-to-total, where the numerator (observed samples) is the number of chromosomes in the study with the minor allele present (found in "Sample size", where Group="Sub"), and the denominator (total samples) is the total number of all chromosomes in the study for the variant (found in "Sample size", where Group="Study-wide" and Population="Global").

Download
Study Population Group Sample Size Ref Allele Alt Allele
TopMed Global Study-wide 264690 -

No frequency provided

dupT=0.000045
gnomAD - Exomes Global Study-wide 250992 -

No frequency provided

dupT=0.000199
gnomAD - Exomes European Sub 135034 -

No frequency provided

dupT=0.000022
gnomAD - Exomes Asian Sub 48968 -

No frequency provided

dupT=0.00094
gnomAD - Exomes American Sub 34556 -

No frequency provided

dupT=0.00003
gnomAD - Exomes African Sub 16248 -

No frequency provided

dupT=0.00000
gnomAD - Exomes Ashkenazi Jewish Sub 10068 -

No frequency provided

dupT=0.00000
gnomAD - Exomes Other Sub 6118 -

No frequency provided

dupT=0.0000
gnomAD - Genomes Global Study-wide 140214 -

No frequency provided

dupT=0.000036
gnomAD - Genomes European Sub 75936 -

No frequency provided

dupT=0.00001
gnomAD - Genomes African Sub 42026 -

No frequency provided

dupT=0.00000
gnomAD - Genomes American Sub 13648 -

No frequency provided

dupT=0.00000
gnomAD - Genomes Ashkenazi Jewish Sub 3324 -

No frequency provided

dupT=0.0000
gnomAD - Genomes East Asian Sub 3128 -

No frequency provided

dupT=0.0013
gnomAD - Genomes Other Sub 2152 -

No frequency provided

dupT=0.0000
ExAC Global Study-wide 121224 -

No frequency provided

dupT=0.000214
ExAC Europe Sub 73310 -

No frequency provided

dupT=0.00003
ExAC Asian Sub 25104 -

No frequency provided

dupT=0.00092
ExAC American Sub 11498 -

No frequency provided

dupT=0.00009
ExAC African Sub 10404 -

No frequency provided

dupT=0.00000
ExAC Other Sub 908 -

No frequency provided

dupT=0.000
Allele Frequency Aggregator Total Global 88466 T=0.99986 dupT=0.00014
Allele Frequency Aggregator European Sub 75454 T=0.99997 dupT=0.00003
Allele Frequency Aggregator African Sub 4292 T=1.0000 dupT=0.0000
Allele Frequency Aggregator Other Sub 3756 T=0.9997 dupT=0.0003
Allele Frequency Aggregator Asian Sub 3328 T=0.9973 dupT=0.0027
Allele Frequency Aggregator Latin American 2 Sub 928 T=1.000 dupT=0.000
Allele Frequency Aggregator Latin American 1 Sub 434 T=1.000 dupT=0.000
Allele Frequency Aggregator South Asian Sub 274 T=1.000 dupT=0.000
14KJPN JAPANESE Study-wide 28258 -

No frequency provided

dupT=0.00127
8.3KJPN JAPANESE Study-wide 16758 -

No frequency provided

dupT=0.00107
1000Genomes_30x Global Study-wide 6404 -

No frequency provided

dupT=0.0002
1000Genomes_30x African Sub 1786 -

No frequency provided

dupT=0.0000
1000Genomes_30x Europe Sub 1266 -

No frequency provided

dupT=0.0000
1000Genomes_30x South Asian Sub 1202 -

No frequency provided

dupT=0.0000
1000Genomes_30x East Asian Sub 1170 -

No frequency provided

dupT=0.0009
1000Genomes_30x American Sub 980 -

No frequency provided

dupT=0.000
Korean Genome Project KOREAN Study-wide 1832 -

No frequency provided

dupT=0.0033
Help

Variant Details tab shows known variant placements on genomic sequences: chromosomes (NC_), RefSeqGene, pseudogenes or genomic regions (NG_), and in a separate table: on transcripts (NM_) and protein sequences (NP_). The corresponding transcript and protein locations are listed in adjacent lines, along with molecular consequences from Sequence Ontology. When no protein placement is available, only the transcript is listed. Column "Codon[Amino acid]" shows the actual base change in the format of "Reference > Alternate" allele, including the nucleotide codon change in transcripts, and the amino acid change in proteins, respectively, allowing for known ribosomal slippage sites. To view nucleotides adjacent to the variant use the Genomic View at the bottom of the page - zoom into the sequence until the nucleotides around the variant become visible.

Genomic Placements
Sequence name Change
GRCh38.p14 chr 7 NC_000007.14:g.99766412dup
GRCh37.p13 chr 7 NC_000007.13:g.99364035dup
CYP3A4 RefSeqGene NG_008421.1:g.22774dup
Gene: CYP3A4, cytochrome P450 family 3 subfamily A member 4 (minus strand)
Molecule type Change Amino acid[Codon] SO Term
CYP3A4 transcript variant 1 NM_017460.6:c.830dup D [GAC] > E [GAAC] Coding Sequence Variant
cytochrome P450 3A4 isoform 1 NP_059488.2:p.Asp277fs D (Asp) > E (Glu) Frameshift Variant
CYP3A4 transcript variant 2 NM_001202855.3:c.827dup D [GAC] > E [GAAC] Coding Sequence Variant
cytochrome P450 3A4 isoform 2 NP_001189784.1:p.Asp276fs D (Asp) > E (Glu) Frameshift Variant
Help

Clinical Significance tab shows a list of clinical significance entries from ClinVar associated with the variation, per allele. Click on the RCV accession (i.e. RCV000001615.2) or Allele ID (i.e. 12274) to access full ClinVar report.

Not Reported in ClinVar
Help

Aliases tab displays HGVS names representing the variant placements and allele changes on genomic, transcript and protein sequences, per allele. HGVS name is an expression for reporting sequence accession and version, sequence type, position, and allele change. The column "Note" can have two values: "diff" means that there is a difference between the reference allele (variation interval) at the placement reported in HGVS name and the reference alleles reported in other HGVS names, and "rev" means that the sequence of this variation interval at the placement reported in HGVS name is in reverse orientation to the sequence(s) of this variation in other HGVS names not labeled as "rev".

Placement T= dupT
GRCh38.p14 chr 7 NC_000007.14:g.99766412= NC_000007.14:g.99766412dup
GRCh37.p13 chr 7 NC_000007.13:g.99364035= NC_000007.13:g.99364035dup
CYP3A4 RefSeqGene NG_008421.1:g.22774= NG_008421.1:g.22774dup
CYP3A4 transcript variant 1 NM_017460.6:c.830= NM_017460.6:c.830dup
CYP3A4 transcript variant 1 NM_017460.5:c.830= NM_017460.5:c.830dup
CYP3A4 transcript variant 2 NM_001202855.3:c.827= NM_001202855.3:c.827dup
CYP3A4 transcript variant 2 NM_001202855.2:c.827= NM_001202855.2:c.827dup
CYP3A4 transcript variant 3 NM_001202856.1:c.683= NM_001202856.1:c.683dup
CYP3A4 transcript variant 4 NM_001202857.1:c.380= NM_001202857.1:c.380dup
CYP3A3 transcript NM_000776.1:c.830= NM_000776.1:c.830dup
cytochrome P450 3A4 isoform 1 NP_059488.2:p.Asp277= NP_059488.2:p.Asp277fs
cytochrome P450 3A4 isoform 2 NP_001189784.1:p.Asp276= NP_001189784.1:p.Asp276fs
Help

Submissions tab displays variations originally submitted to dbSNP, now supporting this RefSNP cluster (rs). We display Submitter handle, Submission identifier, Date and Build number, when the submission appeared for the first time. Direct submissions to dbSNP have Submission ID in the form of an ss-prefixed number (ss#). Other supporting variations are listed in the table without ss#.

24 SubSNP, 9 Frequency submissions
No Submitter Submission ID Date (Build)
1 RIKENSNPRC ss6311600 Feb 20, 2003 (111)
2 SNP500CANCER ss48293941 Mar 14, 2006 (126)
3 EVA_EXAC ss1711863014 Apr 01, 2015 (144)
4 ILLUMINA ss1946215466 Dec 20, 2016 (150)
5 ILLUMINA ss1946215467 Feb 12, 2016 (147)
6 ILLUMINA ss2136304420 Dec 20, 2016 (150)
7 ILLUMINA ss2711117396 Nov 08, 2017 (151)
8 GNOMAD ss2736599981 Nov 08, 2017 (151)
9 GNOMAD ss2747872162 Nov 08, 2017 (151)
10 GNOMAD ss2856772669 Nov 08, 2017 (151)
11 AFFY ss2986046001 Nov 08, 2017 (151)
12 ILLUMINA ss3022760845 Nov 08, 2017 (151)
13 ILLUMINA ss3625934082 Oct 12, 2018 (152)
14 ILLUMINA ss3644948568 Oct 12, 2018 (152)
15 ILLUMINA ss3653294867 Oct 12, 2018 (152)
16 ILLUMINA ss3726465390 Jul 13, 2019 (153)
17 ILLUMINA ss3744293731 Jul 13, 2019 (153)
18 KOGIC ss3962190733 Apr 26, 2020 (154)
19 TOPMED ss4756587534 Apr 26, 2021 (155)
20 TOMMO_GENOMICS ss5184665456 Apr 26, 2021 (155)
21 EVA ss5237035249 Apr 26, 2021 (155)
22 1000G_HIGH_COVERAGE ss5562816276 Oct 17, 2022 (156)
23 TOMMO_GENOMICS ss5725378225 Oct 17, 2022 (156)
24 EVA ss5848687652 Oct 17, 2022 (156)
25 1000Genomes_30x NC_000007.14 - 99766412 Oct 17, 2022 (156)
26 ExAC NC_000007.13 - 99364035 Oct 12, 2018 (152)
27 gnomAD - Genomes NC_000007.14 - 99766412 Apr 26, 2021 (155)
28 gnomAD - Exomes NC_000007.13 - 99364035 Jul 13, 2019 (153)
29 Korean Genome Project NC_000007.14 - 99766412 Apr 26, 2020 (154)
30 8.3KJPN NC_000007.13 - 99364035 Apr 26, 2021 (155)
31 14KJPN NC_000007.14 - 99766412 Oct 17, 2022 (156)
32 TopMed NC_000007.14 - 99766412 Apr 26, 2021 (155)
33 ALFA NC_000007.14 - 99766412 Apr 26, 2021 (155)
Help

History tab displays RefSNPs (Associated ID) from previous builds (Build) that now support the current RefSNP, and the dates, when the history was updated for each Associated ID (History Updated).

Added to this RefSNP Cluster:
Submission IDs Observation SPDI Canonical SPDI Source RSIDs
8915811, 5764417, 42634763, ss1711863014, ss1946215466, ss1946215467, ss2136304420, ss2711117396, ss2736599981, ss2747872162, ss2856772669, ss2986046001, ss3022760845, ss3625934082, ss3644948568, ss3653294867, ss3744293731, ss5184665456 NC_000007.13:99364034::T NC_000007.14:99766411:T:TT (self)
ss5848687652 NC_000007.13:99364035::T NC_000007.14:99766411:T:TT
50342211, 270657036, 18568734, 59215329, 593965093, ss3726465390, ss3962190733, ss4756587534, ss5237035249, ss5562816276, ss5725378225 NC_000007.14:99766411::T NC_000007.14:99766411:T:TT (self)
7817055467 NC_000007.14:99766411:T:TT NC_000007.14:99766411:T:TT (self)
ss6311600 NT_007933.15:37396877::T NC_000007.14:99766411:T:TT (self)
ss48293941 NT_007933.15:37396878::T NC_000007.14:99766411:T:TT (self)
Help

Publications tab displays PubMed articles citing the variation as a listing of PMID, Title, Author, Year, Journal, ordered by Year, descending.

2 citations for rs4646438
PMID Title Author Year Journal
26785747 Polymorphisms in genes involved in the absorption, distribution, metabolism, and excretion of drugs in the Kazakhs of Kazakhstan. Iskakova AN et al. 2016 BMC genetics
29193749 Clinical Implementation of Pharmacogenetic Testing in a Hospital of the Spanish National Health System: Strategy and Experience Over 3 Years. Borobia AM et al. 2018 Clinical and translational science
Help

The Flanks tab provides retrieving flanking sequences of a SNP on all molecules that have placements.

Genome context:
Select flank length:

Genomic regions, transcripts, and products
Top Help

NCBI Graphical Sequence Viewer display of the genomic region, transcripts and protein products for the reported RefSNP (rs).
Use the zoom option to view the nucleotides around the RefSNP and find other neighboring RefSNPs.
Visit Sequence Viewer for help with navigating inside the display and modifying the selection of displayed data tracks.

Software version is: 2.0.1.post761+d5e8e07